Individual
EVERETTE BERNARD THOMBS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-2155
(912) 350-2156
Mailing address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-2155
(912) 350-2156
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
052378
GA
208M00000X
Hospitalist Physician
Primary
052378
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10067526
AMERIGROUP
GA
01
—
366815
WELLCARE
GA
05
—
804216761B
—
GA
05
—
804266761C
—
GA
05
—
G52378
—
SC
01
—
P00389475
RR MEDICARE
GA
01
—
P00803297
RR MEDICARE
GA
Enumeration date
10/06/2006
Last updated
07/20/2011
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